In this discussion I'm going to post the four main reasons WHY bacerial vaginosis becomes chronic from the research I've done and my personal experience.
First, though, I'll start by saying that my battle with BV lasted about a year and it was one of the most difficult things I have ever had to deal with. It's not only irritating and sometimes painful but also psychologically draining trying to hide it from everyone and feeling dirty and like no one will understand. So, if you are currently battling BV I understand and I feel for you. BV is a BITCH. but there is hope!
I'm the kind of person who likes to find a solution as soon as a problem arises and is constantly asking the question why?. My problem of BV, unfortunately, took FOREVER to solve and that's mainly because the majority of doctors out there don't know how to fix Chronic BV (and still haven't done much to try and fix that problem even though it's more common than most people think!!)
What Bv reall is:
Bacterial Vaginosis first and fore most is not an "infection" it is and "imbalance" of the bacterial flora in the vagina. the kind of bacteria that causes the symptoms of Bv is present in every woman but is usually kept at a very low level because the beneficial bacteria in the vagina keep it in check. however, when the "good guys" are depleted for one reason or another the "bad guys" (ie.Garnerella) get to take over and cause issues. THIS is why antibiotics are so ineffective for so many woman with BV.
Antibiotics not only kill the Bad bacteria but also the Good bacteria. If you're body is out of balance for one reason or another, the good bacteria has a harder time trying to repopulate your vagina and the bad bacteria now has another opportunity to flourish again. ugh! especially when the pH of the vagina becomes elevated, such as when you're on your period.
So, in order to STOP CHRONIC BV we have to treat the cause of the problem and not just the symptoms. chronic issues can not be treated like acute infections. just taking more courses of antibiotics is not going to solve the issue and in fact is probably making the issue worse and harder to fight in the end because you're depleting your body of the beneficial immune boost good bacteria.
the four main reasons your body may be out of balance that have been linked to bv are:
1. Low vitamin D levels (I reccomend tanning, and taking a high quality supplement)
2. Hormone inbalance (particularly low progesterone)(dong quai root is great for hormone balancing)
3. Yeast overgrowth in the body (antifungals, coconut oid, garlic all help!)
4. imbalanced pH levels and overheated body (eating foods the cool the body down like cucumber. and drinking alkaline water with lemon in it)
the reason you have BV could be a combination of any of these things which is why something that may be a "MIRACLE CURE!" for one person isn't effective at all for the other. I reccomend looking up the symptoms of these things to see if any of them fit you so you can have an idea of what may be the best supplements for you to take.
Personally, I went to a naturopathic doctor after way too many failed etempts with MDs and it was so worth it. (turns out i had a thyroid problem, low progesterone, low vit D and a yeast overgrowth.. basically everything linked with chronic bv. lol yay me. But at least i finally new WHY it was happening and i was able to understand my enemy and defeat it! lol) They listen to your entire medical history, info about your environment and lifestyle. They're willing to run the tests that many doctors deny you to see what the root of your problem really is. if you can afford it I HIGHLY recommend having a consultation with an ND. that way you can take care of the root of the problem, and never have to worry about the bv bitch returning again!
I know this is long but I hope this helps someone at least understand BV instead of constantly asking why me? YOu're not crazy if the standard treatment isn't working on you. there is a reason and it isn't your fault that doctors don't understand how to help yet.
My main peice of advice is to STAY POSITIVE. i know it's extremely hard but it can and it will get better. never stop trying to find your solution. and just breath. cry in the shower if you need to and know that you aren't alone and many other women have felt and know your pain.